Isidakamizwa i-Acyclovir siboniswa ukwelashwa kwazo zonke izinhlobo ze-herpes simplex, kanye nokwelashwa kwe-herpes zoster. Futhi nakuba ukuphikisana kokusetshenziswa kwe-Acyclovir kukhulisa ukuzwela komuthi kuphela, ukusetshenziswa kwe-Acyclovir kwabesifazane abakhulelwe kuvunyelwe kuphela ezimweni ezihlukile.
Iyini igciwane le-herpes?
Igciwane le-Herpes simplex lidluliselwa ngokuxhumana nesiguli noma inkampani yakhe yenethiwekhi. Izindlela zokungena kwegciwane:
- Othintana naye . Kuthunyelwa lapho uxhumana nezinto zegulane.
- Ubulili . Esikhatsini sesitifiketi socansi noma senze igciwane le- herpes yesisu lidluliselwe.
- I-Oral . Ukwelashwa kwenzeka nge-kiss.
- I-Transplacental . Igciwane liyadluliselwa ku-utero kusuka kumama kuya emntwaneni.
- Intranatally . Ukwelashwa kwenzeka lapho ingane ihlangana namapheshana ezitho zangasese omama ogulayo ngesikhathi sokubeletha.
Ingena phakathi kwesikhumba esibucayi nesikhumba esonakele. Njengoba igciwane lesandulela ngculaza lingena ezitokisini ze-lymph, igazi, kanye nezitho zangaphakathi, zidonswe emcinini. Kodwa okwenziwe yigciwane ukuthi emva kwesikhashana kuyanyamalala emzimbeni, kodwa emanzini omzimba eduze kwesango ukungena kuhlala isimo esivamile (esingekho) sokuphila futhi senziwa ngaphansi kwezimo ezimbi zemvelo. Igciwane libonisa ukuthi lihlukumezayo futhi libuhlungu ngendlela ye-blisters egcwele amanzi. Ama-Rashes afakwa endaweni yangasemngceleni wesikhumba nesikhumba semvu. Igciwane lesandulela ngculazi lingabonakali.
I-Herpes nokukhulelwa: izinkinga ezingenzeka
I-Herpes ingenye yegciwane elingase libe imbangela yokukhulelwa kwesisu, ukufelwa komfutho nokuphuphuma kwesisu, ukungalashwa kwe-intrauterine ukukhulelwa, ukubeletha ngaphambi kwesikhathi. Ngakho-ke, emva kwezimo ezifanayo, ngaphambi kokukhulelwa okusha okuhleliwe futhi ngesikhathi sokukhulelwa, isifundo sihlelelwe ukuba khona kwegciwane owesifazane.
Ukusetshenziswa kwe-acyclovir ekukhulelwe ukwelashwa kwe-herpes
I-Acyclovir ingena emkhawulweni we-placental futhi iyathinta kakhulu ingane, ngakho-ke ayisetshenzisiwe ku-trimester yokuqala yokukhulelwa. I-Acyclovir ekukhulelwe (amathebulethi ne-lyophilate ekulungiseleleni izixazululo) iphikisana nokuphathwa okwejwayelekile, kodwa ngezinye izikhathi ku-trimester yesithathu yokukhulelwa umuthi usetshenziselwa phezulu (njengamafutha noma ukhilimu).
I-Acyclovir (amafutha) ngesikhathi sokukhulelwa - imfundo
Amafutha we-Acyclovir akhishwa ngendlela engu-5% ukusetshenziswa kwangaphandle kanye namafutha ophthalmic angu-3%. Ukuze uphathe i-herpes embranini enamaqabunga ezitho zangasese, kungcono ukusebenzisa i-ophthalmic ointthalmic 3%. Lapho i-herpes ihlukumeza igciwane noma ukuhlukaniswa kwegciwane le-herpes kusukela emgqatsheni wobulili otholakala e-laboratory, amasonto angama-35 kuya ku-35 angabhalwa ukwelashwa kwendawo ye-herpes nge-Acyclovir ointment ukuvimbela ukutheleleka kwengane ekubelethweni. Ngaphambi kokusebenzisa amafutha okugcoba kufanele ahlanzwe kahle ngamanzi afudumele futhi amiswe ithawula. Amafutha asetshenziselwa isikhumba esonakele kanye ne-membrane yamangqamuzana njalo amahora angu-4 ne-ungqimba omncane. Inkambo yokwelashwa ingadlulela ezinsukwini eziyisihlanu kuya kwezingu-10.
I-Acyclovir (ukhilimu) ngesikhathi sokukhulelwa - imfundo
I-Cream Acyclovir ikhishwa njenge-ayisikhilimu ayi-5% enesisindo esingama-100 amagremu. Kodwa ekwelapheni i-herpes yobulili, ukhilimu awufanelekile. Isetshenziselwa ukuphatha ezinye izinhlobo ze-herpes simplex (ezindebe, emaphikweni ekhaleni). Ukhilimu awungafaki umama wegazi futhi ngakho-ke usetshenziselwa phezulu ngesikhathi sokukhulelwa, indlela yesicelo ifana neye-Acyclovir.
Uma ukwelashwa kwendawo nge-Acyclovir kwakungasebenzi, kanti igciwane liyaqhubeka lifihlelwa yindlela yokulala yowesifazane okhulelwe, ngakho-ke kuyadingeka ukuvimbela ukutheleleka kwengane engakazalwa ekuzalweni kokubeletha. Ngenxa yalokhu, ukulethwa yi-section caesarean.